Organization
LINDA KILLIAN, LCSW, LCAS PC
Active
Organization
LINDA KILLIAN, LCSW, LCAS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HALL KILLIAN LCSW, LCAS (OWNER)
(919) 732-3504
Entity
Organization
Contact information
Practice address
960 CORPORATE DR STE 401, HILLSBOROUGH, NC 27278-8560
(919) 732-3504
(919) 732-3557
Mailing address
PO BOX 772, 960 CORPORATE DRIVE, SUITE 401, HILLSBOROUGH, NC 27278-0772
(919) 732-3504
(919) 732-3557
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
C002075
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
C002075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002362
—
NC
Enumeration date
05/18/2012
Last updated
05/18/2012
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